Following are the Terms & Conditions agreed upon by you or your organization (“Client”) in working with Adam Cole Shapiro and his associates (“Coach”) covering all services and communications (“Coaching”) past, present, and in perpetuity. By agreeing to this document, you indicate that you understand the following as it relates to Coaching:

___ I understand that my Coach is not acting as a mental health counselor, therapist, or medical professional and that Coaching is not a substitute for professional mental health care or medical care and it is not intended to diagnose, treat or cure any mental health or medical conditions.

___ I understand and agree that I am fully responsible for my well-being during my coaching sessions, and subsequently, including my choices and decisions.

___ Payment is "at-your-will" meaning that it is up to you to decide how much to pay, if anything. I ask that you consider the instrinsic value you receive and what feels good to you. You can learn more at: www.adamcoleshapiro.com/donate

___ I have the ability to give my informed consent, and hereby give such consent to my coach to assist and advise me in my life goals with the understanding that results are not guaranteed and no refunds offered.

___ I understand that my Coach will protect my information as confidential unless I state otherwise in writing. If I report child, elder abuse or neglect or threaten to harm myself or someone else, I understand that necessary actions will be taken and my confidentiality agreement limited in this capacity or as otherwise ordered by a court to the extent the law requires.

___ I understand that the use of technology is not always secure and I accept the risks of confidentiality in the use of email, text, phone, Skype and other technology.

___ I hereby release, waive, acquit and forever discharge my Coach, any agents, successors, assigns, personal representatives, executors, heirs and employees from every claim, suit action, demand or right to compensation for damages I may claim to have or that I may have arising out of acts or omissions by myself or by my Coach as a result of the advice given by my Coach or otherwise resulting from the coaching relationship contemplated by this agreement.

___ I further declare and represent that no promise, inducement or agreement not expressed in this agreement has been made to me to sign this agreement. This agreement shall bind my heirs, executors, personal representatives, successors, assigns, and agents.

BY CHECKING THIS BOX YOU INDICATE THAT YOU AGREE WITH ALL OF THE ABOVE TERMS & CONDITIONS *